Happy Valley Icf Ddh 4

LBN: Nic Usa Inc
Happy Valley Icf Ddh 4 is an health care organization with primary practice located at 4160 Phoenix St , Concord CA 94521. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Nic Usa Inc can be contacted via phone (925) 944-1222, or through Niculescu, Costin via phone (925) 944-1222.

Contact Information

Primary practice address
4160 Phoenix St Concord CA 94521
Phone: (925) 944-1222
Fax: (925) 946-9254
Website:
Map and Directions
Authorized official contact:
Name: Niculescu, Costin
Phone: (925) 944-1222

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X California

Profile Details

NPI number 1780729392
LBN Legal business name Nic Usa Inc
DBA Doing business as Happy Valley Icf Ddh 4
Authorized official Niculescu, Costin
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780729392 NPPES
California MEDICAID LTC60841F

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